- University of Miami (Miami, FL)
- …Department of Public Health Sciences is currently seeking a full time Sr. Manager , Programs. The Senior Manager , Programs oversees the day-to-day administrative ... University faculty and staff and other key stakeholders. Furthermore, the Senior Manager , Programs serves as the liaison to leadership, faculty, students, and staff.… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Care Management **Work ... with physician practices and inpatient teams to promote the effective utilization of services and coordination of patient centered care. The CM contributes to the… more
- Dignity Health (Bakersfield, CA)
- …Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a ... to accomodate PST business hours.** **Position Summary:** The Senior Program Manager of Operational Automation will lead the design, implementation, and optimization… more
- Vanderbilt University Medical Center (Nashville, TN)
- **Discover Vanderbilt University Medical Center** : Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, ... through preeminent programs in patient care, education, and research. **Organization:** TMO/ UM Team E **Job Summary:** JOB SUMMARY Collaborates with the health… more
- Community Health Systems (Gadsden, AL)
- Join us as a **Care Manager - LPN** position at Gadsden Regional Medical Center Unit: Care Management Shifts Available: M-F 8 hour shifts, WTF 12 hour shifts, or ... for Full and Part-Time role **Job Summary** The Care Manager - LPN supports effective utilization management and discharge...of medical records to assess the appropriateness, medical necessity, and utilization of hospital services ,… more
- CenterWell (Tallahassee, FL)
- …of senior-focused primary care, one of the largest providers of home health services , and fourth largest pharmacy benefit manager , CenterWell is focused on ... caring community and help us put health first** The Utilization Management ( UM ) Administrative Coordinator 2 is responsible for providing high-quality support to… more
- Community Health Systems (Bentonville, AR)
- …Conducts daily reviews of medical records to assess the appropriateness, medical necessity, and utilization of hospital services , escalating cases as needed ... for vacations, holidays and illness + Health insurance, including coverage for medical , dental, vision and prescription drugs + 401(k) retirement plan + Education… more
- Sharp HealthCare (San Diego, CA)
- …services , and oversees the health care needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its' Chief Medical ... claims management, IT management, etc. + Plans, organizes, and directs the professional medical services program, consisting of all primary and specialty … more
- Elevance Health (Los Angeles, CA)
- **JR162375 Behavioral Health Care Manager II** Responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient ... behavioral healthcare in a cost-effective setting in accordance with UM Clinical Guidelines and contract. + Ability to work...continuity of care and seamless transitions between levels of service . + Refers cases to Peer Reviewers as appropriate.… more
- ERP International (Yuma, AZ)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position at the Camp Pendleton **Branch Health Clinic** in ... Benefits!** Paid Vacation, Paid Sick Time, Plus 12 Paid Federal Holidays!** Medical /Dental/Vision, STD, LTD and Life Insurance, Health Savings Account available, and… more